ch 54 upper respiratory drugs

The nurse is caring for a client who will be going home with a prescription for an antitussive. What discharge instructions are most important for the nurse to share with this client? Select all that apply.

"Don't drive or use heavy machinery because this medication may cause sedation." "Use sugarless candy if this medication causes you to experience a dry mouth." "If this cough continues for a week, please contact your physician."

The physician ordered flunisolide for a client who was previously prescribed ephedrine for seasonal rhinitis. What is the nurse's best response to the client's question as to why his medication has been changed?

"It's likely because your previous medication wasn't giving you relief."

A client is receiving a topical nasal decongestant. The nurse instructs the client to use the drug no longer than what length of time?

5 days

Which clients are likely to benefit from administration of a decongestant? Select all that apply.

A client who has "hay fever" A teenager with a middle ear infection A client with a common cold

Which agent would the nurse identify as providing local anesthesia to the respiratory passages?

Benzonatate Benzonatate provides local anesthetic action on the respiratory passages, lungs, and pleurae

When instructing a client in how to use a topical nasal spray, what would the nurse emphasize to do first?

Clear the nasal passages, if possible.

Which medications would a nurse identify as a first-generation antihistamine? Select all that apply.

Dimenhydrinate Clemastine Meclizine

A client calls the nurse help line and asks if he may take an over-the-counter (OTC) expectorant. The nurse is aware that an expectorant would be contraindicated or used very cautiously if the client has what conditions? Select all that apply.

Emphysema Asthma Very productive cough

A group of nursing students are reviewing information about expectorants. The students demonstrate understanding when they identify which medication as an example?

Guaifenesin Expectorants, such as guaifenesin, are agents given orally to liquefy respiratory secretions and allow for easier removal

Which instruction should the nurse include in the teaching plan for a client receiving an antitussive?

Increase fluid intake.

The nurse is teaching a client about oral nasal decongestants. Which adverse effects does the nurse mention as being sympathomimetic reactions? Select all that apply.

Increased pulse Arrhythmias Pallor

What would contraindicate the use of a topical nasal decongestant?

Nasal ulceration

A client has lesions inside both nostrils. Which medication would be contraindicated?

Oxymetazoline

Oral acetylcysteine is widely used in the treatment of acetaminophen overdosage

Promethazine is most commonly used in the treatment of nausea and vomiting.

When describing the action of dornase alfa in treating cystic fibrosis, the nurse understands that this drug does what?

Separates extracellular DNA from protein in mucus

When teaching a client who is receiving pseudoephedrine about possible adverse effects, what would the nurse include? Select all that apply.

Sweating Hypertension Anxiety

The nurse is caring for client who is prescribed a topical decongestant. The nurse should identify it as belonging to which drug classification?

Sympathomimetics imitating the effects of the sympathetic nervous system to cause vasoconstriction

When developing the teaching plan for a client receiving an antihistamine, what should the nurse include? Select all that apply.

Taking the drug on an empty stomach Reading the labels of OTC medications because they may contain the same ingredient Using sugarless candies or lozenges to combat dry mouth Advising the client to avoid alcohol consumption

After teaching a group of students about topical nasal steroid decongestants, the instructor determines the need for additional teaching when the students identify what as an example?

Tetrahydrozoline Tetrahydrozoline is a topical nasal decongestant

The home health nurse is caring for an 83-year-old client who has an upper respiratory infection and is taking an over-the-counter (OTC) cough and cold preparation. What issues must be discussed with this client related to the OTC medication? Select all that apply.

This client should call the physician before taking this medication because it may be contraindicated due to other conditions the client has. The client may become confused and disoriented. The client is at an increased risk for falls because of dizziness.

A client who has been using a nasal decongestant is at risk for rhinitis medicamentosa. What action should the nurse recommend to prevent this condition?

Use the medication for as short a time as possible.

A client has just been admitted for an overdose of pseudoephedrine. The nurse's assessment of the client should prioritize what system?

cardiovascular

Which condition would contraindicate the use of oxymetazoline?

hypertension